Questionnaire
1) Is your mother/father generous? Cross your answer.
[Yes] [No]
How generous:
1 2 3 4 5
2) Is your mom/dad caring? Cross your answer.
[Yes] [No]
How caring:
1 2 3 4 5
3) Is your mom/dad strict? Cross your answer.
[Yes] [No]
How strict:
1 2 3 4 5
4) Is your mom/dad domineering? Cross your answer.
[Yes] [No]
How domineering:
1 2 3 4 5
5) Is your mom/dad humble? Cross your answer.
[Yes] [No]
How humble:
1 2 3 4 5
6) Is your mom/dad very imaginative? Cross your answer.
[Yes] [No]
How imaginative:
1 2 3 4 5
7) Does your mom/dad have a self-empowering or empowering trait? Cross your answer.
[Yes] [No]
How empowering are they:
1 2 3 4 5
Appearance
1) What is the color of your mom /dad’s natural hair? Tick a singular option.
Red [ ]
Platinum blonde [ ]
Ash blonde [ ]
Dark brown [ ]
Light brown [ ]
Black [ ]
2) If they have dyed their hair, state the color:
3) Prominent facial features: You may tick more than one option.
a) The Eyes:
§ The color [ ]
§ The shape [ ]
b) The Nose:
§ The shape [ ]
c)The Hair:
§ The thickness [ ]
§ Trimmed [ ]
§ Clean cut [ ]
d)The Ear:
§ Length [ ]
§ The shape [ ]
e) The Lips:
§ The fullness [ ]
§ The thinness [ ]
4) Height: Choose only one option.
a) Mother taller [ ]
b)Father taller [ ]
c) Equal height wise [ ]
5) Skin Tone: Tick your option.
Mother: Father:
Black [ ] Black [ ]
Brown [ ] Brown [ ]
Olive [ ] Olive [ ]
White [ ] White [ ]
6) Bodily appearance: You can only tick one.
Mother: Father:
Large [ ] Large [ ]
Voluptuous [ ] Muscular [ ]
Lean [ ] Average [ ]
Thin [ ] Thin [ ]
Wednesday, August 20, 2008
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